Opportunity Information: Apply for CDC RFA CK19 1902
This CDC funding opportunity (CDC RFA CK19-1902) supports a cooperative agreement focused on strengthening the overseas medical examinations that immigrants and refugees must complete before traveling to the United States. These exams are required under U.S. immigration law, including section 232 of the Immigration and Nationality Act, and are governed by HHS/CDC regulations (CDC Part 34, Medical Examination of Aliens). Under those rules, the medical exams must follow CDC-issued Technical Instructions, which are developed and updated by CDCs Division of Global Migration and Quarantine. The exams are carried out overseas by panel physicians, who are licensed, experienced physicians practicing outside the United States and designated by U.S. Embassies and Consulates through the Department of State. There are more than 760 panel physicians worldwide performing these pre-departure examinations.
The underlying purpose of the medical examination is to help the Department of State and the Department of Homeland Security identify health-related conditions that may make an applicant inadmissible on public health grounds. The review covers several main categories: communicable diseases of public health significance (as defined in regulation and CDC policy), lack of required documentation showing vaccination against vaccine-preventable diseases, certain physical or mental disorders when associated with harmful behavior, and drug abuse or addiction. In short, the exam is both a clinical evaluation and a regulatory screening tool meant to protect public health and ensure that applicants meet statutory health-related admissibility requirements.
The program goal of this grant is to improve the quality, consistency, and operational performance of these overseas medical examinations for U.S.-bound immigrants and refugees, aligning with the Healthy People 2020 Global Health focus area. Rather than paying for individual exams, the grant is aimed at systems improvement: better communication, better training, clearer standards, and smoother panel-site operations so that physicians across many countries apply the Technical Instructions correctly and consistently.
The recipient (grantee) is expected to implement several core activities. First, the grantee must develop a website designed to support panel physicians by providing an information exchange platform along with links to technical resources and training materials. Second, the grantee must develop and distribute a regular newsletter that delivers technical updates and timely guidance to panel physicians, helping them keep up with changes in Technical Instructions, procedures, and best practices. Third, the grantee must provide on-site training to panel physicians with an emphasis on proficiency in CDC Technical Instructions; this can include traveling to panel sites, providing hands-on technical assistance, and participating in CDC-run seminars or similar training events. Fourth, the grantee must develop a set of proficiency standards or accreditation criteria that can be used worldwide to define and measure expected performance for panel physicians, supporting more uniform quality assurance across countries and sites. Fifth, the grantee must continue developing and implementing a panel-site efficiency program to improve the logistics, workflow, and management of exam sites, recognizing that operational bottlenecks and inconsistent processes can affect timeliness, documentation quality, and overall reliability.
This opportunity is structured as a cooperative agreement, meaning CDC is not a passive funder and will be substantially involved in execution beyond normal grant oversight. CDCs role includes collaborating closely with the grantee to set priorities across the activity areas, holding regular meetings and maintaining ongoing communication to keep the work aligned with program needs. CDC will provide consultation, guidance, and technical assistance, including specialized support in areas like strategic information and project management. CDC will also help the grantee report results and disseminate recommendations and relevant medical exam information in English and local languages in origin countries, which is important because panel physicians and local staff operate in diverse linguistic environments.
In addition, CDC will participate in evaluation and performance monitoring by jointly reviewing operations and analyzing monitoring data to assess how well interventions are working. CDC retains significant review and approval functions, including recommendations on how the grantee selects key personnel and any subcontractors or subgrantees, approval of annual work plans and detailed budgets, and approval of the monitoring and evaluation plan. Financial and performance accountability are emphasized: CDC plans monthly check-ins to compare expenditures to the approved work plan and adjust as needed, plus annual meetings to review progress reports and approve subsequent-year plans and budgets. CDC will also provide administrative support to help the recipient comply with U.S. government financial and reporting requirements.
From an administrative standpoint, the opportunity was issued by HHS/CDC (NCEZID) under CFDA 93.318 as a discretionary award using a cooperative agreement mechanism. Eligibility is listed as unrestricted (open to any type of entity unless otherwise clarified in the full notice). The anticipated award structure included a single expected award, with an award ceiling of $500,000. The notice was created February 14, 2019, with an original application deadline of April 15, 2019 (electronic applications due by 11:59 p.m. ET). Overall, the grant is designed to build a stronger global support and quality framework for panel physicians so that overseas medical examinations are accurate, consistent, efficient, and closely aligned with CDC Technical Instructions and U.S. immigration health requirements.Apply for CDC RFA CK19 1902
- The Department of Health and Human Services, Centers for Disease Control - NCEZID in the health sector is offering a public funding opportunity titled "Performing Regulatory-Required Medical Examinations for U.S. Bound Populations by US Screening Physicians" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.318.
- This funding opportunity was created on Feb 14, 2019.
- Applicants must submit their applications by Apr 15, 2019 Electronically submitted applications must be submitted no later than 1159 p.m., ET, on the listed application due date.. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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Frequently Asked Questions (FAQs)
What is this funding opportunity?
This is a CDC funding opportunity (CDC RFA CK19-1902) that supports a cooperative agreement to strengthen the overseas medical examinations that immigrants and refugees must complete before traveling to the United States.
Which federal agency is offering this grant?
The opportunity was issued by HHS/CDC (NCEZID) as a discretionary award.
What is the CFDA number for this opportunity?
The CFDA number listed for this opportunity is 93.318.
What kind of award mechanism is being used?
The award uses a cooperative agreement mechanism, which means CDC will be substantially involved in the project beyond standard grant oversight.
What is the main goal of the program?
The program goal is to improve the quality, consistency, and operational performance of overseas medical examinations for U.S.-bound immigrants and refugees, aligning with the Healthy People 2020 Global Health focus area.
Does this grant pay for individual medical exams?
No. The grant is aimed at systems improvement (for example, communication, training, standards, and operations) rather than paying for individual examinations.
Why are these overseas medical examinations required?
They are required under U.S. immigration law, including section 232 of the Immigration and Nationality Act, and governed by HHS/CDC regulations (CDC Part 34, Medical Examination of Aliens).
What rules or guidance must the overseas medical exams follow?
Under CDC Part 34, the medical examinations must follow CDC-issued Technical Instructions developed and updated by CDC's Division of Global Migration and Quarantine.
Who performs the overseas medical examinations?
The exams are carried out overseas by panel physicians, who are licensed and experienced physicians practicing outside the United States and designated by U.S. Embassies and Consulates through the Department of State.
About how many panel physicians are involved worldwide?
There are more than 760 panel physicians worldwide performing these pre-departure examinations.
What is the purpose of the medical examination in the immigration process?
The underlying purpose is to help the Department of State and the Department of Homeland Security identify health-related conditions that may make an applicant inadmissible on public health grounds, while also protecting public health and supporting compliance with statutory health-related admissibility requirements.
What health-related categories are reviewed during the exam?
The review covers: communicable diseases of public health significance (as defined in regulation and CDC policy), lack of required documentation showing vaccination against vaccine-preventable diseases, certain physical or mental disorders when associated with harmful behavior, and drug abuse or addiction.
Is this exam only a clinical evaluation?
No. The exam is described as both a clinical evaluation and a regulatory screening tool.
What are the core activities the grantee is expected to implement?
The recipient is expected to implement several core activities: (1) develop a website for panel physicians that supports information exchange and provides links to technical resources and training materials; (2) develop and distribute a regular newsletter with technical updates and timely guidance; (3) provide on-site training to panel physicians focused on proficiency in CDC Technical Instructions; (4) develop proficiency standards or accreditation criteria usable worldwide to define and measure expected performance; and (5) continue developing and implementing a panel-site efficiency program to improve logistics, workflow, and management of exam sites.
What is the required website supposed to do?
The website is intended to support panel physicians by serving as an information exchange platform and by providing links to technical resources and training materials.
What is the purpose of the newsletter?
The newsletter is meant to deliver technical updates and timely guidance to panel physicians so they can keep up with changes in Technical Instructions, procedures, and best practices.
What does "on-site training" include under this grant?
On-site training can include traveling to panel sites, providing hands-on technical assistance, and participating in CDC-run seminars or similar training events, with an emphasis on proficiency in CDC Technical Instructions.
What are the proficiency standards or accreditation criteria meant to accomplish?
They are intended to define and measure expected performance for panel physicians worldwide and support more uniform quality assurance across countries and sites.
What is the panel-site efficiency program focused on?
It is focused on improving the logistics, workflow, and management of exam sites, recognizing that bottlenecks and inconsistent processes can affect timeliness, documentation quality, and overall reliability.
How involved will CDC be during the project?
CDC will be substantially involved. Its role includes collaborating with the grantee to set priorities, holding regular meetings, maintaining ongoing communication, providing consultation and technical assistance (including in strategic information and project management), and helping report and disseminate recommendations and relevant medical exam information.
Will CDC participate in monitoring and evaluation?
Yes. CDC will participate in evaluation and performance monitoring by jointly reviewing operations and analyzing monitoring data to assess how well interventions are working.
What approvals or review authority does CDC retain?
CDC retains significant review and approval functions, including recommendations related to selection of key personnel and any subcontractors or subgrantees, approval of annual work plans and detailed budgets, and approval of the monitoring and evaluation plan.
How will financial and performance accountability be handled?
CDC plans monthly check-ins to compare expenditures to the approved work plan and adjust as needed, plus annual meetings to review progress reports and approve subsequent-year plans and budgets. CDC will also provide administrative support to help the recipient comply with U.S. government financial and reporting requirements.
Will the project include communication in languages other than English?
Yes. CDC will help the grantee disseminate recommendations and relevant medical exam information in English and local languages in origin countries, reflecting the multilingual environments where panel physicians and local staff operate.
Who is eligible to apply?
Eligibility is listed as unrestricted (open to any type of entity unless otherwise clarified in the full notice).
How many awards were anticipated?
The anticipated award structure included a single expected award.
What was the award ceiling?
The award ceiling listed was $500,000.
When was the notice created?
The notice was created on February 14, 2019.
What was the application deadline?
The original application deadline was April 15, 2019, with electronic applications due by 11:59 p.m. ET.
What broader outcome is this grant designed to achieve?
The grant is designed to build a stronger global support and quality framework for panel physicians so that overseas medical examinations are accurate, consistent, efficient, and closely aligned with CDC Technical Instructions and U.S. immigration health requirements.
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